Surgery for Cerebral Stroke
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
Topics: Treatment for the Elderly with Severe SAH
Treatment for Ruptured Aneurysm of Aged Patients Over 80 Years Old
Kensuke MURAKAMIYasuhiro SUZUKITakahiro TOMITANoboru TAKAHASHIMichiharu NISHIJIMA
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2006 Volume 34 Issue 2 Pages 75-78

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Abstract
We analyzed the outcome of surgical treatment for ruptured cerebral aneurysm in 15 aged patients over 80 years old. The neurological grades on admission, according to the Hunt and Kosnik classification, were Grade II in 5 cases, Grade III in 5 cases, Grade IV in 3 cases, and Grade V in 2 cases, and were worse than those of younger patients. Ruptured aneurysm was treated by direct surgery in 8 cases and embolization in 2 cases.
The Glasgow outcome scale at discharge was good recovery in 1, moderately disabled in 2, severely disabled in 7, vegetative state in 1, and dead in 4 cases. In cases treated by direct surgery or embolization, unfavorable outcome was caused by primary brain damage, disuse syndrome, and delayed vasospasm.
We conclude that radical treatment of ruptured aneurysm in the acute stage and rehabilitation are vitally important in aged patients.
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© 2006 by The Japanese Society on Surgery for Cerebral Stroke
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